How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $5,011.87 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,011.87 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,071.52 | $1,778.28 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,079.46 Median $9,332.54 Typical High $19,054.61 | Facility | None | $7,079.46 | $9,332.54 | $19,054.61 |
BCBS Nebraska Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,290.87 | $2,454.71 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $3,019.95 | Facility | None | $1,288.25 | $2,398.83 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $2,818.38 | Professional | None | $2,089.30 | $2,454.71 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,290.87 Typical High $9,332.54 | Facility | None | $1,174.90 | $2,290.87 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,754.23 Typical High $8,511.38 | Professional | None | $1,445.44 | $2,754.23 | $8,511.38 |
Midlands Setting Professional Modifier None Typical Low $2,089.30 Median $2,691.53 Typical High $3,548.13 | Professional | None | $2,089.30 | $2,691.53 | $3,548.13 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $2,454.71 Typical High $3,890.45 | Facility | None | $1,288.25 | $2,454.71 | $3,890.45 |
Midlands Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $3,548.13 | Professional | None | $1,995.26 | $2,630.27 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $6,309.57 | Facility | None | $1,288.25 | $2,238.72 | $6,309.57 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,398.83 Typical High $3,235.94 | Professional | None | $1,445.44 | $2,398.83 | $3,235.94 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $537.03 Typical High $891.25 | Professional | 52 · Reduced service | $537.03 | $537.03 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $354.81 | Professional | 53 · Discontinued | $213.80 | $213.80 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $1,348.96 | Professional | 54 · Surgery only | $812.83 | $812.83 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $269.15 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $177.83 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $1,258.93 |
Where Nebraska sits
The same service costs 7.9 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nebraska· 4th of 51
$2,512
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.